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General NPI Number Information
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NPI Number | 1437459617
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Entity Type | Organization
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Legal Business Name | UNION HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 6068 W HIGHWAY 74
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-3591
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Country | US
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Telephone | 704-821-5192
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Fax | 704-821-5193
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Provider Business Mailing Address
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Address Line | 6068 W HIGHWAY 74
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-3591
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Country | US
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Telephone | 704-821-5192
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Fax | 704-821-5193
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAMIE COLLETT
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Credential |
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Telephone | 704-821-5192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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